HomeMy WebLinkAbout2000-P02043 - mechanical * _. �l.
PERMIT
CITY OF ORONO PERMIT TYPE: Mechanical
2750 Kelley Parkway - P.O. Box 66 Permit Number : pp a.a-13
Crystal Bay, Minnesota 55323 Date Issued: 02/03/00
(612) 249-4600
SITE ADDRESS: 1972 Shadywood Road
Orono, MN 55391
H.N.B.
17-1 17-23 24 0025
DESCRIPTION: Mechanical
1 Vent Make Kitchen
REMARKS:
FEE SUMMARY: Valuation $600
Base Fee $35.00 MAIL IN FEE 1.00
Surcharge $0.50 Total Fee $36.50
Subtotal $35.50
CONTRACTOR: Sedgwick Heating & Air OWNER:
�� THE UNDERSIGNED HEREBY REQiJEST PERMISSION TO�MAKE THE REAL IMPROVEMENTS SPECTFIED AND �
AGREES TO DO ALL WORK IN STRICT COMPLIANGE W[TH ALL CITY OF ORONO ORDINANCES AND STATE OF'
MINNESOTA BUILDIN��Cy�CODE�REQUtREMENTS. �
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APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PERNII'I'
Box 66 (2750 Kelley Parkway) �:�;
Crystal Bay, NIN 55323 `p
GENERAL INFORMATION �,;
R�.
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within 2 working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID ' ',°'
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS �d�
POSTED ON THE JOB SITE.
3. Mechanical Designs - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
shall also be provided.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough-in and final). Call 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the pernut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. ;'�;
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Please check one: New � Addition Repair Replace �b
� Residential Commercial j'
.IOB �ITE• G „� ,: � � ' � Zip: � �
Owner's Name: --� Telephone Number: r��7/-_��,��
Mailing Address: City: Zip: ��r
Contractor's Name: - ����-- Te��hone Number: ',,X,>-�'���>�
Mailing Address: .��, City: '� Zip:
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SYSTEM DESCRIPTION
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HEATING SYSTEMS �
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs: `
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Output BTUs:
CFM:
COOLING SYSTEMS
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Quantiry: _
Make:
Model: -
Tor�s:
H. Power
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WOOD BURNING EQUIPNIENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
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VENTILATION /
No. _� Kitchen E�aust V ducted recirculating cfm
No. / Bath Exhaust (must be ducted outside) ��i cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside -
LP Gas: gallons
Other Gas opening
�� PERMIT FEE CALCULATION
;� 1. 1.25% of Contract Price* or Minimum Fee 35.00 '.
�vl�C�.��1u x .0125 $ �.J.���' k
(centract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price) �',j'
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �(0::�1�
'��.; * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted -
. work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor, or installation are furnished by the owner,
tenalit or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the City may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
,
Applicant's Signature:� Date: /,���1��
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Approved By: Date:
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED � .
PERMIT NO. COMPLETED r� �' � �� ��"°�
ADDRESS f Wf :: :_ =.�a�.z,� � ;,�r-a��
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PClJMBING FINAL 36 FOUNDATION/REMOVAL
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,, pHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR �- CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContra;� or on site:
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DATE TIME
CITY OF ORONO � � CALLED IN � ��
INSPECTION NO CE � SCHEDULED -j�—� • ,
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Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAI
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOH TO MEET YOU:_YES_NO
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INSPECTOR W{LL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in ad ance. �952� Z49-46QQ
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White Copyllnspector's Ffle Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO ICE SCHEDULED - � ,�3
PERMIT NO. f COMPLETED �4 �:.3 v
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y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL '� 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU:_YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUiRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContrac on site:
Inspector.� Q-1���
White Copyllnspector's File Canary CopylSite Notfce